鼻胃管综合征:病例报告的元总结
Deven Juneja1, Prashant Nasa2, Gunjan Chanchalani3
1Department of Critical Care Medicine, Max Super Speciality Hospital, New Delhi 110017, India. devenjuneja@gmail.com.
World journal of clinical cases
|January 31, 2024
概括
鼻胃管综合征 (NGT) 是一种罕见但严重的并发症,导致声带和呼吸道阻塞. 早期去除NGT和及时诊断对于预防危及生命的呼吸道损害至关重要.
科学领域:
- 医疗并发症 医疗并发症
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
背景情况:
- 鼻胃管 (NGT) 广泛使用,但带有低估的风险.
- NGT综合征,以NGT存在,喉疼痛和声带为特征,是一种罕见的,可能致命的上呼吸道阻塞.
- 报告不足可能源于临床医生的不认识和诊断挑战.
研究的目的:
- 审查关于NGT综合征的病例报告和系列.
- 识别风险因素,早期预警信号和症状.
- 通过及时检测,防止严重的呼吸道阻塞.
主要方法:
- 系统的文献搜索 (PubMed,EMBASE,RCA,谷歌学者) 截至2023年8月.
- 包括关于NGT综合征的病例报告和病例系列.
- 提取有关患者人口统计,症状,干预和结果的数据.
主要成果:
- 确定了27例NGT综合征;男性占主导地位 (63%).
- 常见的症状包括声/喘息 (63%);双边声带发生在78%的患者中.
- 移除NGT是主要的治疗方法,63%的患者需要呼吸道,有3人死亡.
结论:
- NGT综合征是常见手术的一种罕见并发症,经常被低估.
- 呈现和时间的变化使诊断复杂化.
- 早期去除NGT是关键;如果呼吸系统受到损害,可能需要进行气管管切除术.
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